Statement of Income Tax Filing - State of Oregon



STATEMENT OF INCOME TAX FILING

(Use only as applicable)

Residential Loan Program

Oregon Housing & Community Services Department

State of Oregon

Lender's Loan No.:     

READ CAREFULLY BEFORE SIGNING

Check Section A and complete the information requested only if Federal Income Tax returns were not required for any year during the preceding three years.

A. I hereby certify I was not required by law to file a Federal Income Tax return for the following

year(s)      for the reason(s) stated below:      

Check Section B only if a Federal Income Tax return has not been filed for the year prior to which the closing will occur.

B. On the date of Residential Loan closing I had not yet filed Federal Income Tax returns for the

preceeding year. I will provide to the Lender a copy of my Federal Income Tax return at such

time as it is filed. When I file the Federal Income Tax return for the prior year, I will not be

entitled to, nor will I claim, deductions for taxes or interest on indebtedness for property

constituting my principal residence for that year.

I FULLY UNDERSTAND that each of the above statements is material to obtaining an Residential Loan and declare, under penalty of perjury which is a felony offense, the above statements are true and correct.

Date: Borrower:

Co-Borrower:

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